KOOL SMILES MAC, PC (NPI# 1275620726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275620726 |
Entity Type | Organization |
Organization Name | KOOL SMILES MAC, PC |
Other Organization Name | CORTLAND DENTAL |
Practice Address |
1 Porter Square Suite 11 Cambridge MA 02140 |
Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
Practice Telephone | 6175475665 |
Practice Fax Number | 6178645666 |
Mailing Telephone | 7709165028 |
Mailing Fax Number | 6782477858 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2019-03-22 |
Authorized Official Name | DR. TU TRAN (PRESIDENT) |
Authorized Official Telephone | 7709165036 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
Cortland Dental | Doing Business As Name - Organization |
Kool Smiles | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154529071 | Kool Smiles Mac, PC | Dentist | 217 South Street, Holyoke, MA 04010 | 2007-07-03 |
1407943954 | Kool Smiles Mac, PC | Dentist | 933 Pleasant Street, Suite 102-103, Fall River, MA 02723 | 2006-10-06 |
1811084387 | Kool Smiles Mac, PC | Dentist | 1096 Revere Beach Pkwy, Chelsea, MA 02150 | 2006-10-06 |
1598852048 | Kool Smiles Mac, PC | Dentist | 2181 Washington Street, Suite 101, Roxbury, MA 02119-2082 | 2006-10-06 |
1477648954 | Kool Smiles Mac, PC | Dentist | 137 Hathaway Road, New Bedford, MA 02746 | 2006-10-03 |
1902947138 | Kool Smiles Mac, PC | Dentist | 715 Crescent St, Suite 9, Brockton, MA 02302-3363 | 2007-02-09 |
1538246616 | Kool Smiles Mac, PC | Dentist | 1070 Saint James Ave, Springfield, MA 01104-1311 | 2006-11-01 |
Street Address |
1 PORTER SQUARE SUITE 11 |
City | CAMBRIDGE |
State | MA |
Zip Code | 02140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
1356976625 | Jennifer Ahonen | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-03-07 |
1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
1992225015 | Figen Esen | Student in an Organized Health Care Education/Training Program | 160 Cabridgepark Drive, Apt 295, Cambridge, MA 02140 | 2017-06-20 |
1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
1740555366 | Aesook Kwon | Registered Nurse | 1493 Cambrige St, Cambridge Hospital, Cambrige, MA 02140 | 2012-03-14 |
1740557743 | In Sync Physical Therapy, LLC | Clinic/Center | 1798a Massachusetts Avenue, Suite 2, Cambridge, MA 02140 | 2011-11-19 |
Find all providers in zip 02140 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558968784 | Francina Alvarez Noboa | Dentist | 700 Huron Ave Apt 15m, Cambridge, MA 02138-4590 | 2020-10-01 |
1487207239 | George Duncan Georgiev | Dentist | 12 Holbrook Crescent, Cambridge, ONTARIO N1T 1V7 | 2019-07-22 |
1609435833 | Jeffrey E. Greenberg, Dmd, P.C. | Dentist | 763 Massachusetts Ave Ste 1, Cambridge, MA 02139-3329 | 2019-06-11 |
1720646987 | Lindsey White | Dentist | 40890 W. Hwy 6 & 34, Cambridge, NE 69022 | 2019-06-03 |
1619533304 | Sarah Lamecker | Dentist | 110 Opportunity Blvd S Ste A, Cambridge, MN 55008-2222 | 2019-05-17 |
1700342268 | Avalon Dental LLC | Dentist | 160 Cambridge St Unit H, Cambridge, MA 02141-1819 | 2019-02-20 |
1740637941 | Lissa Cisneros | Dentist | 135 Opportunity Blvd S, Cambridge, MN 55008-1238 | 2016-05-17 |
1114292000 | Two Rivers Family & Cosmetic Dentistry | Dentist | 90 S Superior, Cambridge, ID 83610 | 2012-03-12 |
1144503715 | Jaime Lyn Klebig | Dentist | N4220 Woodcrest Ln., Cambridge, WI 53523 | 2011-09-21 |
1366771792 | Archana Srinivasan | Dentist | 1 Court Ln, Unit 502, Cambridge, MD 21613-1883 | 2009-12-14 |
Find all providers in CAMBRIDGE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.